Organization
JKMATIBAG, PLLC
Active
Organization
JKMATIBAG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A MATIBAG MD (OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
7878 N 16TH ST, SUITE 250, PHOENIX, AZ 85020-4449
(602) 395-0718
(602) 277-8146
Mailing address
7878 N 16TH ST, SUITE 250, PHOENIX, AZ 85020-4449
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52115
AZ
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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